Abstract

BackgroundHumans are parasitized by three types of lice: body, head and pubic lice. As their common names imply, each type colonizes a specific region of the body. The body louse is the only recognized disease vector. However, an increasing awareness of head lice as a vector has emerged recently whereas the status of pubic lice as a vector is not known since it has received little attention.MethodsHere, we assessed the occurrence of bacterial pathogens in 107 body lice, 33 head lice and 63 pubic lice from Marseille and Bobigny (France) using molecular methods.ResultsResults show that all body lice samples belonged to the cytb Clade A whereas head lice samples belonged to Clades A and B. DNA of Bartonella quintana was detected in 7.5% of body lice samples and, for the first time to our knowledge, in 3.1% of pubic lice samples. Coxiella burnetii, which is not usually associated with transmission by louse, was detected in 3.7% of body lice samples and 3% of head lice samples. To the best of our knowledge, this is the first report of C. burnetii in Pediculus lice infesting humans in France. Acinetobacter DNA was detected in 21.5% of body lice samples, 6% of head lice samples and 9.5% of pubic lice samples. Five species were identified with A. baumannii being the most prevalent.ConclusionsOur study is the first to report the presence of B. quintana in pubic lice. This is also the first report of the presence of DNA of C. burnetii in body lice and head lice in France. Further efforts on the vectorial role of human lice are needed, most importantly the role of pubic lice as a disease vector should be further investigated.

Highlights

  • Humans are parasitized by three types of lice: body, head and pubic lice

  • All Pediculus lice were tested by quantitative Polymerase chain reaction (PCR) (qPCR) to determine their clade

  • Polygenetic analysis of Pediculus lice confirmed that head and body lice from France belong to Clades A and B, as reported by others

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Summary

Introduction

Humans are parasitized by three types of lice: body, head and pubic lice. Human lice belong to the insect order Phthiraptera, suborder Anoplura (sucking lice) [1]. The pubic louse lives in the hair of pubic area, but can occasionally infest several hairy areas on an individual, such as under the armpits, in the beard or mustache, or on the eyebrows and eyelashes [5, 6]. It is sexually transmitted and has often been found in combination with sexually transmitted infections [5, 6]. It is not known whether pubic lice carry an agent of human disease under natural conditions [6, 7]

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